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[Spinal anesthesia and multiple sclerosis].

P Bouchard, J B Caillet, F Monnet

    Annales Francaises D'Anesthesie Et De Reanimation
    |January 1, 1984
    PubMed
    Summary
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    Spinal anesthesia is a safe option for patients with multiple sclerosis undergoing surgery. This procedure showed no neurotoxicity and offered benefits like reduced bladder spasticity, with manageable exacerbations.

    Area of Science:

    • Neurology
    • Anesthesiology

    Context:

    • Multiple sclerosis (MS) presents unique challenges for surgical procedures.
    • Anesthetic choices for MS patients require careful consideration due to potential neurological effects.

    Purpose:

    • To evaluate the safety and efficacy of spinal anesthesia in patients with multiple sclerosis.
    • To assess complications, neurotoxicity, and patient-reported outcomes associated with spinal anesthesia in MS.

    Summary:

    • Spinal anesthesia was administered to 9 multiple sclerosis patients for 14 surgical procedures (13 urological, 1 plastic).
    • No significant complications or neurotoxicity were observed; one patient experienced a transient exacerbation, comparable to general anesthesia.
    • The procedure alleviated bladder spasticity, improving surgical conditions and patient comfort.

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    Impact:

    • Spinal anesthesia is a viable and safe anesthetic technique for multiple sclerosis patients.
    • It offers advantages over general anesthesia, including avoiding loss of consciousness and managing spasticity.
    • Further research can explore expanded use in specific surgical contexts for MS patients.